| NPI | 1972060192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: PA OP008656) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA006628) |
| Enumeration Date | 2019-02-24 |
| Last Update Date | 2019-02-24 |